gina.bryson-c21americana.sites.c21.homes Open in urlscan Pro
64.246.164.134  Public Scan

Submitted URL: http://www.gina.bryson-c21americana.sites.c21.homes/
Effective URL: https://gina.bryson-c21americana.sites.c21.homes/
Submission: On February 08 via api from US — Scanned from ES

Form analysis 1 forms found in the DOM

<form role="form" id="contactMeForm" class="form-horizontal">
  <div class="form-group">
    <div class="col-sm-9">
      <input id="footerContact_wms_ec_your_name" type="text" class="form-control col-sm-10" name="wms_ec_your_name" placeholder="your name">
    </div>
    <div class="col-sm-3">
      <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
      <span class="help-block with-errors">Name looks great.</span>
    </div>
  </div>
  <div class="form-group">
    <div class="col-sm-9">
      <input id="footerContact_wms_ec_your_email" type="email" class="form-control" name="wms_ec_your_email" placeholder="*your email" data-error="A valid email is required." pattern="[a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+\.[a-zA-Z]{2,4}$" required="">
    </div>
    <div class="col-sm-3">
      <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
      <span class="help-block with-errors">Looks like a valid email.</span>
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  </div>
  <div class="form-group">
    <div class="col-sm-9">
      <input id="footerContact_wms_ec_your_phone" type="text" pattern="^\(?([0-9]{3})\)?[-.]?([0-9]{3})[-.]?([0-9]{4})$" name="wms_ec_your_phone" class="form-control" placeholder="your phone">
    </div>
    <div class="col-sm-3">
      <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
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  </div>
  <div class="form-group">
    <div class="col-sm-9">
      <textarea id="footerContact_wms_ec_message" class="form-control" name="wms_ec_message" placeholder="*type your message or question" data-error="A comment is required. Please be as detailed as you can." required=""></textarea>
    </div>
    <div class="col-sm-3">
      <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
      <span class="help-block with-errors">The more detail the better.</span>
    </div>
  </div>
  <input type="hidden" name="wms_ec_recipient_email" value="gina.bryson@c21americana.com">
  <div class="input-yenoh" style="position: absolute; left: -9999px;">
    <input tabindex="-1" type="checkbox" name="accept" class="yenoh yenoh-1 yenoh-y" checked="checked">
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  <div class="form-group form-group-submit clearfix">
    <div class="col-sm-9">
      <button id="footerContact_submit" type="submit" class="btn btn-primary btn-block disabled">Send</button>
    </div>
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</form>

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GINA BRYSON

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Office:
(702) 296-9999
License:
S.0062730 NV
gina.bryson@c21americana.com
Americana
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